HOMETOWN DENTAL, INC.
NPI: 1992371462
· CHARLES CITY, IA 50616
· Dentist
· NPI assigned 06/03/2021
Provider Details
| Authorized Official | FALDET, REED (OWNER) |
| NPI Enumeration Date | 06/03/2021 |
Monthly Spending Trend
Yearly Breakdown
| Year | Claims | Total Paid |
|---|
| 2021 |
203 |
$4K |
| 2022 |
414 |
$8K |
| 2023 |
433 |
$8K |
| 2024 |
163 |
$3K |
Billing Codes
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| D0120 |
Periodic oral evaluation - established patient |
523 |
490 |
$9K |
| D1206 |
Topical application of fluoride varnish |
502 |
468 |
$7K |
| D1110 |
Prophylaxis - adult |
147 |
131 |
$5K |
| D1120 |
Prophylaxis - child |
28 |
27 |
$801.66 |
| D0274 |
Bitewings - four radiographic images |
13 |
12 |
$342.46 |